Russia and deep vein thrombosis: real a threat?

12 August, 2017

RUSSIA and venous thrombosis: a conspiracy of silence?

In Russia, very few people know:

1 / that in most developed countries, deep vein thrombosis (DVT) and pulmonary embolism (PE) went to one of the first places among the major causes of death.The situation is so serious that in the United States, as adopted (in September 2008) on the initiative of the Chief Surgeon (Minister of Health) "Call to prevent DVT and PE" These diseases are called «chief of the public health problems» [1];

2 / that "the tragedy of the disease (deep vein thrombosis) is the difficulty of diagnosis, since their symptoms are fairly vague and unspecific.Approximately 50% of cases of DVT occur secretly.Very often, the first symptom of DVT is a fatal pulmonary embolism "(Here is a quote from the message of the Director of the National Heart, Lung, and Blood and the United States included in the" Call to prevent DVT and PE ").[1];

3 / that, since 2001, the World Health Organization (WHO) strongly indicates the presence of

a direct connection DVT-PE with a long (4 hours) finding a person in a sitting position - in particular during tourist tripson cars, buses, trains, aircraft or river vessels.Statistics WHO says that one out of every 4,500 travelers a tivity it ends PE.[2];

4 / that in Russia PE is usually fatal;

5 / that if we apply these statistics, WHO, then, given the geographical extent of the country and the volume of passenger traffic of fatal PE is only a result of (unfair) provision of passenger transport services year killed more than 23 thousand p USSIA (!) [3,4,5,6,7];

Mortality Russians from accident only slightly higher than the above figures, however, it served as the basis for the federal program "Increase of traffic safety in 2006-2012", while high (taking into account all the factors that lead to disease) mortalityfrom DVT-PE is not accepted in any calculations!

6 / that there are a number of factors, many times increases the risk of deep venous thrombosis, pulmonary embolism.Among them - the use of means of oral contraceptives, the risk increases to 20 times (!) [8];

7 / that governments of most developed countries taken measures wide awareness in their countries about the causes and possible fatal risks and available measures to prevent the disease.In particular, in most developed countries, such information is required on the websites of the ministries of health and ministries of transport, as well as on the websites of passenger airlines and travel agencies.[9,10,11];

8 / that reliable information about the causes, possible fatal risks, the factors that increase the risk level and the measures available to the prevention of deep venous thrombosis, pulmonary embolism actually closed for the majority of Russians (!) , because the information is not:

- on sites of Russian ministries, including the Ministry of Health's website;

- information stands Russian clinics, hospitals and universities;

- at the information stands of railway stations, airports, trains and airplanes;

- on the sites of major Russian passenger carriers.

Obviously, interacting with foreign partners and learn from their experiences in the field of transport, "Russian Railways", "Aeroflot" and "Transaero" fully knowledgeable about the disproportionate growth of the risk of DVT - PE due to middle and long-distance passenger transport.However, the "Russian Railways" completely ignores the interests of their clients, without giving them any information on this.As for the "Aeroflot" and "Transaero", they introduced their clients misleading.Not denoting the seriousness of the problem, and does not indicate a causal link with the services offered to customers, no mention of DVT and pulmonary embolism (!) , carriers lead on their websites information that could contribute to the prevention of deep venous thrombosis, pulmonary embolism, but do it inform that can not provide any proper understanding or proper use of this information by their customers.Thus, the rough and long violated the requirements of Article 7 of the "Law on the safety of consumer goods (works, services)" Federal Law "On Protection of Consumers' Rights of 07.0292g № 2300-1.

- on Web sites of travel companies of the Russian Federation;

- in the model regulations on labor protection for the relevant categories of employees;

- in the "Provisional list of harmful, hazardous substances and production factors ..." [12];

- on labels (instructions for use) oral contraceptive approved for implementation in the Russian pharmacy chains.

Travel-Related Venous Thrombosis: Results from a Large Population-Based Case Control Study (MEGA Study) In a large case-control studyof travelers, the risk of venous thrombosis was increased 3-fold with a similar risk for flying or travelling by car, bus, or train.Suzanne C. Cannegieter, Carine JM Doggen, Hans C. van Houwelingen, Frits R. Rosendaal

Certificate of DVT, PE Transport Canada site.

Page Site Ottawa Hospital Research Institute.

Booklet DVT-PE for airline passengers, developed by the Federal Aviation Administration of the United States.

Annex to the order of the Health Ministry of the Russian Federation from 14.03.96 N 90 # Provisional list of harmful, hazardous substances and production factors at work which required preliminary and periodic medical examinations of employees, medical contraindications, as well as medical specialists involved in theconducting these medical examinations and necessary laboratory and functional studies